<!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="utf-8">
	<title>Subscription Signup | Marketo</title>
	<script src="../../lib/jquery.js"></script>
	<script src="../../lib/jquery.mockjax.js"></script>
	<script src="../../dist/jquery.validate.js"></script>
	<script src="jquery.maskedinput.js"></script>
	<script src="mktSignup.js"></script>
	<link rel="stylesheet" href="stylesheet.css">
</head>
<body>
<!-- start page wrapper -->
<div id="letterbox">
	<!-- start header container -->
	<div id="header-background">
		<div class="nav-global-container">
			<div class="login">
				<a href="#">
					<span></span>Customer Login</a>
			</div>
			<div class="logo">
				<a href="#">
					<img src="images/logo_marketo.gif" width="168" height="73" alt="Marketo">
				</a>
			</div>
			<div class="nav-global">
				<ul>
					<li>
						<a href="#" class="nav-g01">
							<span></span>Home</a>
					</li>
					<li>
						<a href="#" class="nav-g02">
							<span></span>Products</a>
					</li>
					<li>
						<a href="#" class="nav-g04">
							<span></span>B2B Marketing Resources</a>
					</li>
					<li>
						<a href="#" class="nav-g05">
							<span></span>About Marketo</a>
					</li>
				</ul>
			</div>
		</div>
	</div>
	<!-- end header container -->
	<div class="line-grey-tier"></div>
	<!-- start page container 2 div-->
	<div id="page-container" class="resize">
		<div id="page-content-inner" class="resize">
			<!-- start col-main -->
			<div id="col-main" class="resize" style="">
				<!-- start main content -->
				<div class="main-content resize">
					<div class="action-container" style="display:none;"></div>
					<h1>Step 2 of 2</h1>
					<h2>Billing Information</h2>
					<br clear="all">
					<div>
						<form id="billingForm" action="" method="get">
							<div class="error" style="display:none;">
								<img src="images/warning.gif" alt="Warning!" width="24" height="24" style="float:left; margin: -5px 10px 0px 0px; ">
								<span></span>.
								<br clear="all">
							</div>
							<table cellpadding="0" cellspacing="0" border="0">
								<tr>
									<td class="label" style="vertical-align: top; padding-top: 8px;">Billing Address:</td>
									<td class="field" style="font-weight: normal">
										<div class="billingAddressControl">
											<input type="checkbox" id="bill_to_co" name="bill_to_co" class="toggleCheck" checked="checked" style="width: auto;" tabindex="1">
											<label for="bill_to_co" style="cursor:pointer">Same as Company Address</label>
										</div>
									</td>
								</tr>
								<tr class="subTable">
									<td colspan="2">
										<div style="background-color: #EEEEEE; border: 1px solid #CCCCCC; padding: 10px;" class="subTableDiv">
											<table cellpadding="0" cellspacing="0" border="0">
												<tr>
													<td class="label">
														<label for="bill_first_name">First Name:</label>
													</td>
													<td class="field">
														<input maxlength="40" class="billingRequired" name="bill_first_name" size="20" type="text" tabindex="2" value="">
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_last_name">Last Name:</label>
													</td>
													<td class="field">
														<input maxlength="40" class="billingRequired" name="bill_last_name" size="20" type="text" tabindex="3" value="">
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_email">Email:</label>
													</td>
													<td class="field">
														<input maxlength="40" class="billingRequired email" remote="emails.action" name="email" size="20" type="text" tabindex="4" value="">
														<div class="formError"></div>
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_address1">Address:</label>
													</td>
													<td class="field">
														<input maxlength="40" class="billingRequired" name="bill_address1" size="20" type="text" tabindex="5" value="">
													</td>
												</tr>
												<tr>
													<td class="label"></td>
													<td class="field">
														<input maxlength="40" name="bill_address2" size="20" type="text" tabindex="6" value="">
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_city">City:</label>
													</td>
													<td class="field">
														<input maxlength="40" class="billingRequired" name="bill_city" size="20" type="text" tabindex="7" value="">
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_state">State:</label>
													</td>
													<td class="field">
														<select id="bill_state" class="billingRequired" name="bill_state" style="margin-left: 4px;" tabindex="8">
															<option value="">Choose State</option>
															<option value="AL">Alabama</option>
															<option value="AK">Alaska</option>
															<option value="AZ">Arizona</option>
															<option value="AR">Arkansas</option>
															<option value="CA">California</option>
															<option value="CO">Colorado</option>
															<option value="CT">Connecticut</option>
															<option value="DE">Delaware</option>
															<option value="FL">Florida</option>
															<option value="GA">Georgia</option>
															<option value="HI">Hawaii</option>
															<option value="ID">Idaho</option>
															<option value="IL">Illinois</option>
															<option value="IN">Indiana</option>
															<option value="IA">Iowa</option>
															<option value="KS">Kansas</option>
															<option value="KY">Kentucky</option>
															<option value="LA">Louisiana</option>
															<option value="ME">Maine</option>
															<option value="MD">Maryland</option>
															<option value="MA">Massachusetts</option>
															<option value="MI">Michigan</option>
															<option value="MN">Minnesota</option>
															<option value="MS">Mississippi</option>
															<option value="MO">Missouri</option>
															<option value="MT">Montana</option>
															<option value="NE">Nebraska</option>
															<option value="NV">Nevada</option>
															<option value="NH">New Hampshire</option>
															<option value="NJ">New Jersey</option>
															<option value="NM">New Mexico</option>
															<option value="NY">New York</option>
															<option value="NC">North Carolina</option>
															<option value="ND">North Dakota</option>
															<option value="OH">Ohio</option>
															<option value="OK">Oklahoma</option>
															<option value="OR">Oregon</option>
															<option value="PA">Pennsylvania</option>
															<option value="RI">Rhode Island</option>
															<option value="SC">South Carolina</option>
															<option value="SD">South Dakota</option>
															<option value="TN">Tennessee</option>
															<option value="TX">Texas</option>
															<option value="UT">Utah</option>
															<option value="VT">Vermont</option>
															<option value="VA">Virginia</option>
															<option value="WA">Washington</option>
															<option value="WV">West Virginia</option>
															<option value="WI">Wisconsin</option>
															<option value="WY">Wyoming</option>
														</select>
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_zip">Zip:</label>
													</td>
													<td class="field">
														<input maxlength="10" class="billingRequired zipcode" name="bill_zip" style="width: 100px" type="text" class="zipcode" tabindex="9" value="">
													</td>
												</tr>
												<tr>
													<td class="label">
														<label for="bill_phone">Phone:</label>
													</td>
													<td class="field">
														<input maxlength="14" class="billingRequired phone" name="bill_phone" style="width: 100px" type="text" class="phone" tabindex="10" value="">
													</td>
												</tr>
											</table>
										</div>
									</td>
								</tr>
								<tr>
									<td class="label">Credit Card Type:</td>
									<td class="field">
										<select id="cc_type" class="required" name="cc_type" class="creditCardType" tabindex="11">
											<option value="">Choose Credit Card</option>
											<option value="amex">American Express</option>
											<option value="discover">Discover</option>
											<option value="mastercard">MasterCard</option>
											<option value="visa">Visa</option>
										</select>
									</td>
								</tr>
								<tr>
									<td class="label">Expiration:</td>
									<td class="field">
										<select id="cc_exp_month" name="cc_exp_month" title="ExpirationMonth" tabindex="12">
											<option value="01">01 - Jan</option>
											<option value="02">02 - Feb</option>
											<option value="03">03 - Mar</option>
											<option value="04">04 - Apr</option>
											<option value="05">05 - May</option>
											<option value="06">06 - Jun</option>
											<option value="07">07 - Jul</option>
											<option value="08">08 - Aug</option>
											<option value="09">09 - Sep</option>
											<option value="10">10 - Oct</option>
											<option value="11">11 - Nov</option>
											<option value="12">12 - Dec</option>
										</select>
										<select id="cc_exp_year" name="cc_exp_year" title="ExpirationYear" tabindex="13">
											<option value="2007">2007</option>
											<option value="2008" selected="selected">2008</option>
											<option value="2009">2009</option>
											<option value="2010">2010</option>
											<option value="2011">2011</option>
											<option value="2012">2012</option>
											<option value="2013">2013</option>
											<option value="2014">2014</option>
											<option value="2015">2015</option>
											<option value="2016">2016</option>
										</select>
									</td>
								</tr>
								<tr>
									<td class="label">
										<label for="credit_card">Credit Card Number:</label>
									</td>
									<td class="field">
										<input maxlength="40" id="creditcard" class="required" name="credit_card" size="20" type="text" tabindex="14">
									</td>
								</tr>
								<tr>
									<td class="label">
										<label for="cc_cvv">Security Code:</label>
									</td>
									<td class="field">
										<input id="ccNumber" class="required" maxlength="4" name="cc_cvv" style="width: 30px;" type="text" style="vertical-align: top;" tabindex="16" value="">
									</td>
								</tr>
								<tr>
									<td></td>
									<td>
										<div class="buttonSubmit">
											<span></span>
											<input class="formButton" type="submit" value="Finish" style="width: 180px">
										</div>
										<br clear="all">
									</td>
								</tr>
							</table>
						</form>
						<br clear="all">
					</div>
				</div>
				<!-- end main content -->
				<br>
			</div>
			<!-- end col-main -->
			<!-- start left col -->
			<div id="col-left" class="nav-left-back empty resize" style="position: absolute; min-height: 450px;">
				<div class="col-left-header-tab" style="position: absolute;">Signup</div>
				<div class="nav-left">
				</div>
				<div class="left-nav-callout png" style="top: 15px; margin-bottom: 100px;">
					<img src="images/left-nav-callout-long.png" class="png" alt="">
					<h6>Sign Up Process</h6>
					<a style="background-image: url(images/step1-24.gif); font-weight: normal; text-decoration: none; cursor: default;">Sign up with a valid credit card.</a>
					<a style="background-image: url(images/step2-24.gif); font-weight: normal; text-decoration: none; cursor: default;">Connect to your Google AdWords account.  You will need your AdWords Customer ID.</a>
					<a target="_blank" style="background-image: url(images/step3-24.gif); font-weight: normal; text-decoration: none; cursor: default;">Start your 30 day trial.  No payments until trial ends.</a>
				</div>
				<div class="footerAddress">
					<b>Marketo Inc.</b>
					<br>1710 S. Amphlett Blvd.
					<br>San Mateo, CA 94402 USA
					<br>
				</div>
				<br clear="all">
			</div>
			<!-- end left col -->
		</div>
	</div>
	<!-- end page container 2 divs-->
	<div id="footer-container" align="center">
		<div class="footer">
			<ul>
				<li><a href="..">Home</a>
				</li>
				<li class="line-off"><a href=".">Back to first step</a>
				</li>
			</ul>
		</div>
	</div>
	<!-- end page wrapper -->
</div>
</body>
</html>
